I have searched the archives to find a partial response to my quesiton:  Is
there any literature to support mixing formula and breast milk together to
improve or enhance digestion, specifically in NICU populations?
The citation in Clin Pediatrics, "The effect of nutritional additives on
anti-infective properties in human milk" does not address the digestion
issue.

Past posts reveal that there is literature to support this practice however
I have not found it.  If anyone knows the science, please share it with me.

There is controversy in our NICU about whether this is a valid practice.
At times, mothers will run low of milk, choose to wean to formula, or
simply forget to bring more milk to the hospital.  Especially in instances
when a mother is running low of her pumped milk and may be 'drying up',
would you recommend mixing it with formula to 'extend' the benefits of the
formula rather than giving all the breast milk before switching to all
formula?

Cathy Carnaby, RNC, IBCLC
NICU
Childrens Hospital
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Omaha Nebraska

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